Johnson County Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007100 Issued in IA

Legal business name

JOHNSON COUNTY CHIROPRACTIC, INC.

Practice address

4 Hawkeye Dr
Ste. 102/103
North Liberty, IA 52317-9038

Phone

(319) 665-2550

Fax

(319) 665-2540

NPI assigned

Mar 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lucas Howard Carlson, DCNPI 1629229711

Title

Doctor of Chiropractic

Phone

(319) 665-2550

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucas Howard Carlson, D.C.

  • Chiropractor
  • Coralville, IA
  • NPI 1629229711
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1073753174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HAWKEYE DR",
            "address_2": "STE. 102/103",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179038",
            "telephone_number": "319-665-2550",
            "fax_number": "319-665-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAWKEYE DR",
            "address_2": "STE. 102/103",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179038",
            "telephone_number": "319-665-2550",
            "fax_number": "319-665-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNTY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "319-665-2550",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629229711",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1629229711",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iowa Donor Network
• Iowa Hearing Associates LLC
• Iowa Wellness Center
• David Iverson
• Rachel Irene Jacobs, OTD
• Allyson Leigh Johnson, M.A., CCC-SLP
• Cheryl K Johnson, M.D.
• Lisa R Johnson, M.D.
• Chloe Jones
• Claire Elizabeth Jones

• Chiropractor in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.